Question 1

Match the transfusion reaction with the description that best fits.
-Acute hemolytic

Accepted Answer

A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly 
A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly D

Question 2

Coughing,cyanosis,and difficulty breathing are symptoms of which of the following transfusion reactions?

Accepted Answer

A) Allergic 
B) Febrile 
C) Hemolytic 
D) TRALI 
A) Allergic 
B) Febrile 
C) Hemolytic 
D) TRALI D

Question 3

Posttransfusion purpura is caused by:

Accepted Answer

A) red cell antibodies. 
B) white cell antibodies. 
C) platelet antibodies. 
D) bacterial contamination. 
A) red cell antibodies. 
B) white cell antibodies. 
C) platelet antibodies. 
D) bacterial contamination. C

Question 4

A patient was identified as having cardiac insufficiency that needed a red blood cell transfusion.How should the transfusion be administered?

Accepted Answer

A) The red blood cell unit should be transfused slowly over a 4-hour period. 
B) The unit should be transfused as whole blood. 
C) Diuretics should be administered with the unit. 
D) Transfusion should be avoided. 
A) The red blood cell unit should be transfused slowly over a 4-hour period. 
B) The unit should be transfused as whole blood. 
C) Diuretics should be administered with the unit. 
D) Transfusion should be avoided.

Question 5

What organ of the recipient's body is involved in a TRALI?

Accepted Answer

A) Heart 
B) Lung 
C) Liver 
D) Brain 
A) Heart 
B) Lung 
C) Liver 
D) Brain

Question 6

Match the transfusion reaction with the description that best fits.
-Circulatory overload

Accepted Answer

A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly 
A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly

Question 7

The clinical sequelae of a hemolytic transfusion reaction may include all of the following except:

Accepted Answer

A) disseminated intravascular coagulation. 
B) renal failure. 
C) shock. 
D) graft-versus-host disease. 
A) disseminated intravascular coagulation. 
B) renal failure. 
C) shock. 
D) graft-versus-host disease.

Question 8

What component is indicated for patients who receive directed donations from immediate family members to prevent graft-versus-host transfusion reactions?

Accepted Answer

A) Irradiated red blood cells 
B) Packed red blood cells 
C) Washed red blood cells 
D) Cytomegalovirus-negative red blood cells 
A) Irradiated red blood cells 
B) Packed red blood cells 
C) Washed red blood cells 
D) Cytomegalovirus-negative red blood cells

Question 9

Match the transfusion reaction with the description that best fits.
-Delayed hemolytic

Accepted Answer

A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly 
A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly

Question 10

Which blood product is recommended for transfusions to individuals with a history of febrile nonhemolytic transfusion reactions?

Accepted Answer

A) Leukocyte-reduced red blood cells 
B) Packed red blood cells 
C) Frozen red blood cells 
D) Whole blood 
A) Leukocyte-reduced red blood cells 
B) Packed red blood cells 
C) Frozen red blood cells 
D) Whole blood

Question 11

A patient is observed to have a rise in temperature and chills during a transfusion.The transfusion is stopped,and a posttransfusion blood sample is carefully drawn.On receipt of this postreaction sample,the transfusion service should immediately:

Accepted Answer

A) observe the color of serum and perform an antibody screen. 
B) observe the color of serum and perform a direct antiglobulin test. 
C) perform an antibody screen and a direct antiglobulin test. 
D) perform an antibody screen and a crossmatch. 
A) observe the color of serum and perform an antibody screen. 
B) observe the color of serum and perform a direct antiglobulin test. 
C) perform an antibody screen and a direct antiglobulin test. 
D) perform an antibody screen and a crossmatch.

Question 12

Which of the following is necessary to prevent an anaphylactic reaction due to a known IgA antibody in a patient?

Accepted Answer

A) All red blood cell units should be irradiated. 
B) Red blood cell units should be washed. 
C) All blood components should be leukocyte-reduced. 
D) Patient should be given antihistamine before transfusion. 
A) All red blood cell units should be irradiated. 
B) Red blood cell units should be washed. 
C) All blood components should be leukocyte-reduced. 
D) Patient should be given antihistamine before transfusion.

Question 13

Long-term red blood cell transfusion can result in which of the following conditions?

Accepted Answer

A) Citrate toxicity 
B) Hemosiderosis 
C) Graft-versus-host disease 
D) Transfusion-related acute lung injury 
A) Citrate toxicity 
B) Hemosiderosis 
C) Graft-versus-host disease 
D) Transfusion-related acute lung injury

Question 14

The use of only male donors as a source of plasma for transfusion is a method to reduce the risk of:

Accepted Answer

A) allergic reactions 
B) circulatory overload. 
C) TRALI. 
D) febrile reactions. 
A) allergic reactions 
B) circulatory overload. 
C) TRALI. 
D) febrile reactions.

Question 15

Documentation of a transfusion reaction investigation should include all of the following except:

Accepted Answer

A) posttransfusion patient temperature. 
B) human leukocyte antigen (HL
A) typing. 
C) reidentification of the patient and transfused component. 
D) collection of a blood sample. 
A) posttransfusion patient temperature. 
B) human leukocyte antigen (HL
A) typing. 
C) reidentification of the patient and transfused component. 
D) collection of a blood sample.

Question 16

Match the transfusion reaction with the description that best fits.
-Febrile,nonhemolytic

Accepted Answer

A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly 
A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly

Question 17

Which one of the following transfusion reactions is associated with high fever,shock,hemoglobinuria,and DIC?

Accepted Answer

A) Anaphylactic 
B) Sepsis 
C) Circulatory overload 
D) Allergic 
A) Anaphylactic 
B) Sepsis 
C) Circulatory overload 
D) Allergic

Question 18

Match the transfusion reaction with the description that best fits.
-Transfusion-related acute lung injury

Accepted Answer

A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly 
A) Prevented by leukocyte-reduced components 
B) Prevented by irradiation of components 
C) Symptoms include hives and itching 
D) Associated with ABO incompatibilities 
E) Caused by donor white cell antibodies
F)Alloantibodies to red cell antigens
G)Can be prevented by transfusion slowly

Question 19

In a delayed hemolytic transfusion reaction,the DAT is typically:

Accepted Answer

A) negative. 
B) positive due to C3. 
C) mixed field positive. 
D) very strongly positive. 
A) negative. 
B) positive due to C3. 
C) mixed field positive. 
D) very strongly positive.

Question 20

An anaphylactic transfusion reaction is caused by __________ antibodies.

Accepted Answer

A) IgA 
B) IgG 
C) IgE 
D) All of the above 
A) IgA 
B) IgG 
C) IgE 
D) All of the above

Match the transfusion reaction with the description that best fits. -Acute hemolytic

Coughing,cyanosis,and difficulty breathing are symptoms of which of the following transfusion reactions?

Posttransfusion purpura is caused by:

A patient was identified as having cardiac insufficiency that needed a red blood cell transfusion.How should the transfusion be administered?

What organ of the recipient's body is involved in a TRALI?

Match the transfusion reaction with the description that best fits. -Circulatory overload

The clinical sequelae of a hemolytic transfusion reaction may include all of the following except:

What component is indicated for patients who receive directed donations from immediate family members to prevent graft-versus-host transfusion reactions?

Match the transfusion reaction with the description that best fits. -Delayed hemolytic

Which blood product is recommended for transfusions to individuals with a history of febrile nonhemolytic transfusion reactions?

A patient is observed to have a rise in temperature and chills during a transfusion.The transfusion is stopped,and a posttransfusion blood sample is carefully drawn.On receipt of this postreaction sample,the transfusion service should immediately:

Which of the following is necessary to prevent an anaphylactic reaction due to a known IgA antibody in a patient?

Long-term red blood cell transfusion can result in which of the following conditions?

The use of only male donors as a source of plasma for transfusion is a method to reduce the risk of:

Documentation of a transfusion reaction investigation should include all of the following except:

Match the transfusion reaction with the description that best fits. -Febrile,nonhemolytic

Which one of the following transfusion reactions is associated with high fever,shock,hemoglobinuria,and DIC?

Match the transfusion reaction with the description that best fits. -Transfusion-related acute lung injury

In a delayed hemolytic transfusion reaction,the DAT is typically:

An anaphylactic transfusion reaction is caused by __________ antibodies.

Immunology: Basic Principles and Applications in the Blood Bank

Blood Banking Reagents: Overview and Applications

Genetic Principles in Blood Banking

Abo and H Blood Group Systems and Secretor Status

Rh Blood Group System

Other Blood Group Systems

Antibody Detection and Identification

Compatibility Testing

Blood Bank Automation for Transfusion Services

Hemolytic Disease of the Fetus and Newborn

Donor Selection and Phlebotomy

Testing of Donor Blood

Blood Component Preparation and Therapy

Transfusion Therapy in Selected Patients

Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank

Filters

Exam 10: Adverse Complications of Transfusions

Match the transfusion reaction with the description that best fits. -Acute hemolytic

Coughing,cyanosis,and difficulty breathing are symptoms of which of the following transfusion reactions?

Posttransfusion purpura is caused by:

A patient was identified as having cardiac insufficiency that needed a red blood cell transfusion.How should the transfusion be administered?

What organ of the recipient's body is involved in a TRALI?

Match the transfusion reaction with the description that best fits. -Circulatory overload

The clinical sequelae of a hemolytic transfusion reaction may include all of the following except:

What component is indicated for patients who receive directed donations from immediate family members to prevent graft-versus-host transfusion reactions?

Match the transfusion reaction with the description that best fits. -Delayed hemolytic

Which blood product is recommended for transfusions to individuals with a history of febrile nonhemolytic transfusion reactions?

A patient is observed to have a rise in temperature and chills during a transfusion.The transfusion is stopped,and a posttransfusion blood sample is carefully drawn.On receipt of this postreaction sample,the transfusion service should immediately:

Which of the following is necessary to prevent an anaphylactic reaction due to a known IgA antibody in a patient?

Long-term red blood cell transfusion can result in which of the following conditions?

The use of only male donors as a source of plasma for transfusion is a method to reduce the risk of:

Documentation of a transfusion reaction investigation should include all of the following except:

Match the transfusion reaction with the description that best fits. -Febrile,nonhemolytic

Which one of the following transfusion reactions is associated with high fever,shock,hemoglobinuria,and DIC?

Match the transfusion reaction with the description that best fits. -Transfusion-related acute lung injury

In a delayed hemolytic transfusion reaction,the DAT is typically:

An anaphylactic transfusion reaction is caused by __________ antibodies.

Immunology: Basic Principles and Applications in the Blood Bank

Blood Banking Reagents: Overview and Applications

Genetic Principles in Blood Banking

Abo and H Blood Group Systems and Secretor Status

Rh Blood Group System

Other Blood Group Systems

Antibody Detection and Identification

Compatibility Testing

Blood Bank Automation for Transfusion Services

Hemolytic Disease of the Fetus and Newborn

Donor Selection and Phlebotomy

Testing of Donor Blood

Blood Component Preparation and Therapy

Transfusion Therapy in Selected Patients

Quality Assurance and Regulation of the Blood Industry and Safety Issues in the Blood Bank

Filters